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脉冲射频治疗腰骶部神经根性疼痛的疗效观察 被引量:9

Curative effect of pulsed radiofrequency for lumbosacral radicular pain
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摘要 目的观察腰骶部背根神经脉冲射频治疗神经根性腰腿痛的临床疗效。方法回顾性研究了68例经保守治疗无效的神经根性腰腿痛病人,在影像学引导下进行穿刺定位,再行背根神经脉冲射频治疗。在病人治疗前及治疗后2个月进行活动时视觉模拟尺度评分(VAS)。结果随访2个月后活动时VAS改善≥75%者20例(29.4%);VAS改善≥50%~70% 29例(42.6%);VAS改善<50% 19例(28.0%)。脉冲射频治疗后无严重并发症发生。结论腰骶部背根神经脉冲射频对神经根性疼痛有治疗作用。 Objetcive To observe the effects of pulsed radiofrequency treatment for lumbsacral radicular pain. Methods Sixty-eight patients with lumbosacral radicular pain treated with pulsed radiofrequency after conservative therapy were retrospectively evaluated. The ten-point VAS was used to document the short-term effect after two months. Results Two months after pulsed radiofrequency treatment, 20 patients were satisfied with the pain reduction which more than 75%, 29 patients presented pain relief more than 50%, 19 patients had no significant effect. No serious adverse effects were noted. Conclusion The use of pulsed radiofrequency in the treatment of lumbosacral radicular pain appears to be effective and safe.
出处 《中国微侵袭神经外科杂志》 CAS 2004年第11期489-490,共2页 Chinese Journal of Minimally Invasive Neurosurgery
关键词 脉冲射频 背根神经 腰腿痛 神经性疼痛 pulsed radiofrequency dorsal root low back pain radicular pain
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参考文献3

  • 1[1]Sluijter ME,Cosman E,Rittman W.The effects of pulsed radiofrequency fields applied to the dorsal root ganglion-a preliminary report [J].Pain Clin,1998; 11 (2): 109-117.
  • 2[2]van Wijk RM,Geurts JW,Wynne HJ.Long-lasting analgesic effect of radiofrequency treatment of the lumbosacral dorsal root ganglion [J].J Neurosurg,2001; 94(2 Suppl): 227-231.
  • 3[3]Higuchi Y,Nashold BS Jr,Sluijter M,et al.Exposure of the dorsal root ganglion in rats to pulsed radiofrequency currents activates dorsal hom lamina Ⅰ and Ⅱ neurons [J].Neurosurgery,2002; 50(4): 850-856.

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